Mary Ruth Cacho-Mohr, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00203497 Issued in CO

Practice address

1631 Wetzel Ave BLDG 815
Fort Carson, CO 80913-4095

Phone

(719) 526-5537

NPI assigned

Sep 26, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mary Ruth Cacho Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1124455829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO-MOHR",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28880",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CACHO",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Joseph Burke, MD, PHD
• John Butera, RMT PTA
• Mercedes Marie Butitta, CNM
• Deepthi Venkat Byreddy, M.D.
• Jennifer Ruth Cable, LCSW
• Amanda Marie Cain, MS, RD
• Arthur B Cajigal, D.O.
• James Boyd Calcut
• Andrew Callahan, D.M.D.
• Timothy J. Camasta, PAC

• Dentist in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.